BOCA RATON PODIATRY AND SPORTS MEDICINE INSTITUTE (NPI# 1982263638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982263638 |
| Entity Type | Organization |
| Organization Name | BOCA RATON PODIATRY AND SPORTS MEDICINE INSTITUTE |
| Practice Address |
5458 Town Center Rd Ste 17 Boca Raton FL 33486-1009 |
| Practice Telephone | 5614161196 |
| Practice Fax Number | 5614161822 |
| Mailing Telephone | 5614161196 |
| Mailing Fax Number | 5614161822 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | DR. WAYNE GOLDSTEIN (OWNER /PODIATRIST) |
| Authorized Official Telephone | 5614161196 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
5458 TOWN CENTER RD STE 17 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33486-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013036359 | Victor Hugo Espinosa | Anesthesiology | 5458 Town Center Rd Ste 17, Boca Raton, FL 33486-1009 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502800 | Med Supplies Rus LLC | Durable Medical Equipment & Medical Supplies | Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 | 2020-09-15 |
| 1235699547 | Ron N/a Goldwaser | Occupational Therapist | Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton, FL 33486 | 2019-03-22 |
| 1982105516 | Noa Rivka Schwartz | Registered Nurse | 801 Meadows Rd Ste 120, Boca Raton, FL 33486 | 2018-02-28 |
| 1437663028 | Jasmine Fay Senatus | Physician Assistant | 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 | 2017-11-19 |
| 1285160440 | Mary Lauderdale | Developmental Therapist | 836 Sw 9th St Circle, Boca Raton, FL 33486 | 2017-05-10 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1528504354 | Megan M Lucas | Physician Assistant | 5458 Town Center Rd Ste 103, Boca Raton, FL 33486 | 2017-01-18 |
| 1962864280 | Annmarie Diazhernandez | Nurse Practitioner | 951 Nw 13 St Bl 5e, Boca Raton, FL 33486 | 2016-03-25 |
| 1689071078 | Djurdja Andrich | Nurse Practitioner | 1500 Nw 10th Ave #205, Boca Raton, FL 33486 | 2014-12-01 |
| Find all providers in zip 33486 | ||||
| Taxonomy Code | 213ES0000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Sports Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629261508 | Marc B Klein Dpm Pa | Podiatrist | 7050 W Palmetto Park Rd Ste 18, Boca Raton, FL 33433-3462 | 2007-08-23 |
| 1225034176 | Mark Stewart Block | Podiatrist | 660 Glades Rd, Ste 120, Boca Raton, FL 33431-6466 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215439740 | Palm Tree Lower Extremity, LLC | Podiatrist | 1919 Van Buren Street, #710, Hollywood, FL 33020-7816 | 2018-02-28 |
| 1225389620 | Brunilda Ducellari | Podiatrist | 35 Sw 114 Ave, Suite 105, Miami, FL 33174 | 2012-09-25 |
| 1487787883 | C Marzouka Professional Services Inc | Podiatrist | 15101 S.w 87 Ave, Miami, FL 33157 | 2007-03-14 |
| 1154337012 | Jeffrey Liss | Podiatrist | 211 Se 12th Ave, Fort Lauderdale, FL 33301-3637 | 2006-07-31 |
| 1275560880 | Robert Levine | Podiatrist | 7730 Starkey Rd, Seminole, FL 33777-4307 | 2006-06-27 |
| 1902864333 | Jose Arnaldo Rivera | Podiatrist | 955 Town Center Dr Ste 200, Orange City, FL 32763 | 2006-05-03 |
| 1386996395 | A Foot Care Center LLC | Podiatrist | 1645 Colonial Blvd, Fort Myers, FL 33907-1101 | 2012-10-15 |
| 1356574651 | Dock Anderson | Podiatrist | 1085 Kane Concourse, Bay Harbor Islands, FL 33154-2105 | 2009-09-02 |
| 1801098769 | Pro-tech Sports Medicine Inc | Podiatrist | 7241 Sw 63rd Ave, Suite 102a, South Miami, FL 33143-4838 | 2007-06-04 |
| 1720108012 | Jorg A Bober | Podiatrist | 1409 Kingsley Ave, Suite 9-g, Orange Park, FL 32073-4537 | 2007-03-30 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33486 |
Please comment or provide details below to improve the information on BOCA RATON PODIATRY AND SPORTS MEDICINE INSTITUTE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.